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Endometrial cancer — MCCQE Part 1 MCQ

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ModeratePost-menopausal BleedingEndometrial cancerMCCQE Part 1

A 61-year-old woman has new painless vaginal bleeding 8 years after menopause. She has obesity and type 2 diabetes. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Evaluate for endometrial cancer with transvaginal ultrasound and/or endometrial biopsy pathway

Any postmenopausal bleeding warrants evaluation for endometrial cancer, especially with obesity and diabetes. Reassurance or empiric treatment without investigation risks missing malignancy. Transvaginal ultrasound and endometrial sampling are commonly used depending local pathway and findings.

Reference: SOGC abnormal uterine bleeding guidance; provincial gynaecology pathways